Rethinking Access to Marijuana - Speaker/Event Request Form
Thank you for your interest in having a RAM speaker at your event. In order to help us facilitate your request, please complete and submit the following form (and any corresponding attachments) to lacountyram@gmail.com a month in advance or at minimum 2 weeks prior to the event, and allow 5-7 business days for a response and to allow for decisions to be made.

If you have any questions or need help completing the Speaker/Event Request Form, please call RAM Secretary, Melanie To at (323) 461-3161 or send an e-mail to lacountyram@gmail.com.

Email address *
Sponsoring Organization *
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Type of Organization
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Contact Name: *
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Contact Phone: *
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Website:
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Date of Event: *
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Time of Event *
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Duration: *
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Set-up Time & Parking Information *
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Location of Event (please include full address) *
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Theme/Purpose of Event (town hall, meeting, conference, etc.) *
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Your request: *
Size of audience
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Target Audience (consumers, stakeholders, employees, other)
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Language Needs (if any, please indicate)
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